Individual
DEREK ELI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6600 W CHARLESTON BLVD STE 142, LAS VEGAS, NV 89146-1050
(320) 260-7472
Mailing address
6600 W CHARLESTON BLVD STE 142, LAS VEGAS, NV 89146-1050
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN99367
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
898146
NV
Other
Enumeration date
01/26/2026
Last updated
02/02/2026
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